Chirurgie im Live-Streaming – Liveoperationen zur Fort- und Weiterbildung: der Kodex der Fachgesellschaften

Holthaus, Bernd; Solbach, Christine; Albring, C; Aydeniz, B.; Brucker, Sara Y.; Naumann, Gert; Neis, K. J.; Wagner, Uwe; Wienke, Andreas; Scharl, A.; Wallwiener, D.

doi:10.1055/a-1010-1511

Cited by 2 publications

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“…Several societies in the field of cardiothoracic, vascular, and urological surgery have published their policies on live surgical broadcasts 13. In 2019, German guidelines on live surgeries in gynecology were published 14. These guidelines give useful recommendations on necessary patient information.…”

Section: Discussionmentioning

confidence: 99%

Ten years of live surgical broadcast at Charité-MAYO conferences (2010–2019): a systematic evaluation of the surgical outcome

Altmann

Chekerov

Fotopoulou

et al. 2022

International Journal of Gynecological Cancer

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ObjectiveThe international Charité-MAYO Conference aims to promote international dialog on diagnostics, management, scientific breakthroughs, and state-of-the-art surgical procedures in gynecology and gynecologic oncology and senology. Live surgeries are a fundamental tool of interdisciplinary and international exchange of experts in their respective fields. Currently, there is a controversial and emotional debate about the true value, risks, and safety of live surgical broadcasts. The aim of the current study is to analyze peri-operative risks in patients who were operated live during the Charité-MAYO Conferences.MethodsLive surgeries were performed by the core Charité team consisting of gynecologic oncologic surgeons, breast and plastic surgeons, partly in collaboration with visiting gynecologic oncologic surgeons. We performed a retrospective analysis of live surgeries performed during seven Charité-MAYO Conferences from 2010 to 2019 held in Berlin, Germany. Patients’ files and tumor databases were analyzed as required and patients were contacted to update their long-term follow-up.ResultsSixty-nine patients who were operated live were included. The types of surgery were as follows: urogynecologic procedures (n=13), breast surgery (n=21), and gynecologic oncology surgery for ovarian, uterine, vulvar or cervical cancer (n=35). Peri-operative complications were assessed according to the Clavien–Dindo classification. Despite a high rate of complete resection and the high frequency of multivisceral procedures, the rate of peri-operative complications was within the range published in the literature. Time of surgery and length of intensive unit care and hospital stay did not differ from data acquired at the home institution.ConclusionsBased on our analysis, live surgeries appear to be safe when performed within a multidisciplinary setting without an increase in surgical morbidity and mortality compared with historical controls and without compromise of patients’ outcome. This is the first analysis of its kind to set the basis for patient information and consent for this type of surgeries.

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Section: Discussionmentioning

confidence: 99%

Ten years of live surgical broadcast at Charité-MAYO conferences (2010–2019): a systematic evaluation of the surgical outcome

Altmann

Chekerov

Fotopoulou

et al. 2022

International Journal of Gynecological Cancer

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“…These disadvantages may not be acceptable under the supreme medical ethics of doing no harm [19]. Some professional associations have issued recommendations for the improvement of these concerns and offered congress organizers suitable guidelines to overcome these problems [22,27].…”

Section: Introductionmentioning

confidence: 99%

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

Ackermann

Wedel

Holthaus

et al. 2020

JCM

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Background: Live surgery events serve as a valuable tool for surgical education, but also raise ethical concerns about patient safety and professional performance. In the present study, we evaluate the technical feasibility and didactic benefits of live surgery on body donors compared to real patients. Methods: A live surgery session performed on a body donor’s cadaver embalmed in ethanol–glycerol–lysoformin was integrated into the live surgery program presented at a major gynecological convention of minimally invasive surgery. Surgical procedures carried out in real patients were paralleled in the body donor, including the dissection and illustration of surgically relevant anatomical landmarks. A standardized questionnaire was filled by the participants (n = 208) to evaluate the appropriateness, effectiveness, and benefits of this novel concept. Results: The live surgery event was appreciated as a useful educational tool. With regard to the use of body donors, authenticity was rated high (85.5%), and the overall value of body donors for surgical education and training was rated very high (95.0%). The didactic benefit of simultaneous operations performed on body donors and real patients was considered particularly useful (95.5%), whereas complete replacement of real patients by body donors was not favored (14.5%). Conclusions: The study demonstrated both the technical feasibility and didactic benefits of performing minimally invasive surgery in body donors as part of live surgery events. This novel concept has the potential to enhance anatomical knowledge, providing insights into complex surgical procedures, and may serve to overcome yet unresolved ethical concerns related to live surgery events.

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Chirurgie im Live-Streaming – Liveoperationen zur Fort- und Weiterbildung: der Kodex der Fachgesellschaften

Cited by 2 publications

References 0 publications

Ten years of live surgical broadcast at Charité-MAYO conferences (2010–2019): a systematic evaluation of the surgical outcome

Ten years of live surgical broadcast at Charité-MAYO conferences (2010–2019): a systematic evaluation of the surgical outcome

Didactic Benefits of Surgery on Body Donors during Live Surgery Events in Minimally Invasive Surgery

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